Bremen Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

268756 Issued in MA

Legal business name

BREMEN PHYSICAL THERAPY

Practice address

179 Washington Ave Unit a
Chelsea, MA 02150-4235

Phone

(617) 446-0832

Fax

(617) 466-1400

NPI assigned

Jul 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ivan David Sanquintin

Title

Owner

Phone

(617) 602-3248

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1457875775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 BREMEN ST STE 4B",
            "city": "EAST BOSTON",
            "state": "MA",
            "postal_code": "021281430",
            "telephone_number": "617-418-5488",
            "fax_number": "617-874-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 WASHINGTON AVE UNIT A",
            "city": "CHELSEA",
            "state": "MA",
            "postal_code": "021504235",
            "telephone_number": "617-446-0832",
            "fax_number": "617-466-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREMEN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "SANQUINTIN",
        "authorized_official_first_name": "IVAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-602-3248"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "268756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Bourgeois, M.ED, LADC1
• James Richard Boyle
• Caryn Brady, LCSW
• Kevin A Bravo, M.D.
• Rotem Brayer, ME.D
• Sean Brewer
• Kayla Brien
• Rene Brimage, LADC II
• Jonathan Samuel Briseno
• Broadway Family Dental PC

• Physical Therapy Clinic/Center in Chelsea, MA
• Providers in Chelsea, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.